Abstract
The number of total hip arthroplasties is ever increasing. Literature about glove perforation rates in arthroplasties in India is very scarce. The purpose of our study was to determine the incidence of glove perforation and increasing the awareness of possible glove perforations to decrease the risk of infection. We performed a prospective study in which we tested gloves worn by all scrubbed personnel. A total of 1408 gloves were collected from 42 primary total hip and 13 revision total hip arthroplasties. Incidence of glove perforation was found to be more in revision total hip arthroplasty. We found a greater outer glove perforation rate of about 38.33% as compared to 25 % inner glove perforation rate. Outer glove perforation was recognized 100% of time intraoperatively but inner glove perforation was noted only 17% of time. First assistant recorded highest rate of glove perforation.
Highlights
Total hip arthroplasty is a very rewarding surgery
Diabetes and poor socioeconomic status are the major patient related factors, while major surgical factors include operative time and allogenic blood transfusion whereas postoperative complications such as urinary tract infection, myocardial infarction and longer duration of hospitalization have been attributed to increased risk of periprosthetic infections 8
The first assistant had outer glove perforation in 8.67% (28/323) of primary THA compared with 18.89% (17/90) in revision cases (P=.01)
Summary
Total hip arthroplasty is a very rewarding surgery. As the number of total hip arthroplasties is increasing day by day 1, revision total hip surgeries are increasing. Periprosthetic infections are among the most devastating complications for the patients as well as for the surgeons. Diabetes and poor socioeconomic status are the major patient related factors, while major surgical factors include operative time and allogenic blood transfusion whereas postoperative complications such as urinary tract infection, myocardial infarction and longer duration of hospitalization have been attributed to increased risk of periprosthetic infections 8. Laminar air flow and prophylactic antibiotics are commonly used by the surgeons to decrease the risk of perioperative infections . 8-10 Despite all the efforts made by surgeons strict aseptic technique is essential to minimize the risk of surgical field contamination Laminar air flow and prophylactic antibiotics are commonly used by the surgeons to decrease the risk of perioperative infections . 8-10 Despite all the efforts made by surgeons strict aseptic technique is essential to minimize the risk of surgical field contamination
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